Personalized Pharmacy Care Plans

Lead Organization

Four Corners Pharmacy

Joint Applicants

St. Peter’s Health Partners

Lansingburgh Family Practice

Areas Project Intends to Serve

Rensselaer and Albany County

Overview

Four Corners Pharmacy, CPESN USA LLC, St. Peter’s Health Partners, and Lansingburgh Family Practice PC plan to address a variety of DSRIP measures with the creation of personalized pharmacy care plans and services for Medicaid patients throughout the capital region. With the goal of improved Medication Management and Adherence, patients will be provided custom medication regiments and synchronization, home delivery of medications, and direct consultation with both clinical and pharmacy staff in monthly touchpoints and quarterly assessments, and, finally, education and coaching as needed. Patient Health Information will be vital to this proposal, and as such, HIXNY and Healthy Together will play integral roles in the facilitation of communication among and between providers to better assure continuity of care.

DSRIP Measures Addressed

  • Preventative Health
    • Primary Care Visit (Age 20-44)
    • Primary Care Visit (Age 45-64)
  • Behavioral Health
    • Antidepressant Medication Management – Acute
    • Antidepressant Medication Management – Continuation
    • Follow-up after Hospitalization for Mental Illness 7 & 30 Days
    • Adherence to Antipsychotic Medications for People with Schizophrenia
  • Avoidable Hospital Use
    • Potentially Preventable Emergency Room Visits
    • Potentially Preventable Admissions – Adult
    • Potentially Preventable Readmissions